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ChatGPT Health

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Re: ChatGPT Health

#631

Post by kachapopopow »

forbiddenvoid wrote: post #570
kachapopopow wrote: post #383

Earlier quoted context omitted.

I really hope this doesn't get lost in the sea of comments and don't feel pressured to answer any of them but: what would you recommend if one is against the idea of medication in general for neurological issues that aren't deterental to ones life? do you feel the difference between being medicated and (strong?) coffee? have you felt the effects weaken over time? if you did drink coffee, have you noticed a difference…

Not the person you asked but: ADHD is a debilitating neurological disorder, not a mild inconvenience. Believe me, I wish that just drinking coffee and "trying harder" was a solution. I started medication because I spent two decades actively trying every other possible solution. > what would you recommend if one is against the idea of medication in general for neurological issues that aren't deterental to ones life? I…

this is very interesting since I also know people who have been diagnosed with adhd and in manifests in completely different ways that's why I like to ask these questions, there are currently 6 known types of ADHD the latest one being inattentive ADHD.

thanks for sharing, the coffee part is mostly for the claim that it has the opposite effect on people with ADHD or no effect at all.

Re: ChatGPT Health

#632

Post by tsoukase »

Long before any LLM becomes useful to people/patients, it will become an indispensable tool for doctors, that are able to usefully evaluate and safely apply the feedback to carefully and specifically posed context. Currently doctors are gaining some value from LLMs but generally it is still small and of limited importance. "Amateur doctors on a keyboard" definitely have a lot to lose next to the possible benefit. Doctors use AI to diagnose and treat, people just to obtain more food for thought to discuss with their doctors while getting a sense of imaginary safety due to a feeling of having total knowledge about their condition.

Re: ChatGPT Health

#633

Post by kachapopopow »

akpa1 wrote: post #584
kachapopopow wrote: post #383

Earlier quoted context omitted.

I really hope this doesn't get lost in the sea of comments and don't feel pressured to answer any of them but: what would you recommend if one is against the idea of medication in general for neurological issues that aren't deterental to ones life? do you feel the difference between being medicated and (strong?) coffee? have you felt the effects weaken over time? if you did drink coffee, have you noticed a difference…

Medicated, diagnosed ADHD-haver speaking. Unmanaged ADHD is dangerous, and incredibly detrimental to people's lives, but the level of such may not be entirely apparent to somebody until after they receive treatment. I think the attitude of being against medication for neurological issues where that is recommended by medical professionals (including where that for something perceived to not be detrimental enough) is,…

thanks for sharing, this is why I want to be educated by what people experience in real life.

I know I might not have ADHD, but I happen to be a magnet for people who do so it naturally peaks my curiosity as they are all considered to have ADHD, but have wildly different experience.

Re: ChatGPT Health

#634

Post by HDThoreaun »

tsoukase wrote: post #630
mlmonkey wrote: post #156

My uncle had an issue with his balance and slurred speech. Doctors claimed dementia and sent him home. It kept becoming worse and worse. Then one day I entered the symptoms in ChatGPT (or was it Gemini?) and asked it for the top 3 hypotheses. The first one was related to dementia. The second was something else (I forget the long name). I took all 3 to his primary care doc who had kept ignoring the problem, and asked…

A cause that needs surgery is readily diagnosed with a Brain MRI. If the doctor didn't order one after symptoms of "balance and slurred speech" then it's not a success of AI but a lethal negligence of the doctor. AI is a substitute for bad doctors not (yet) for good ones.

The problem is that it is very difficult if not impossible for patients to know if they have a good doctor or a bad one.

Re: ChatGPT Health

#635

Post by tsoukase »

HDThoreaun wrote: post #634
tsoukase wrote: post #630

Earlier quoted context omitted.

A cause that needs surgery is readily diagnosed with a Brain MRI. If the doctor didn't order one after symptoms of "balance and slurred speech" then it's not a success of AI but a lethal negligence of the doctor. AI is a substitute for bad doctors not (yet) for good ones.

The problem is that it is very difficult if not impossible for patients to know if they have a good doctor or a bad one.

Then may be ask ChatGPT about the quality of a specific doctor first. There might exist reviews somewhere. It would be the most valuable information.

Re: ChatGPT Health

#636

Post by cael450 »

nradov wrote: post #516
cael450 wrote: post #437

Earlier quoted context omitted.

I'm married to a provider. It is absolutely insane what she has to do for insurance. She's not a doctor, but she oversees extensive therapy for 5-10 kids at a time. Insurance companies completely dictate what she can and can't do, and frequently she is unable to do more in-depth, best-practice analysis because insurance won't pay for it. So her industry ends up doing a lot of therapy based on educated guesswork. Ever…

I generally agree (and sympathize with your wife), but let's not present an overly rosy view of government run healthcare or single-payer systems. In many countries with such systems, extensive therapy simply isn't available at all because the government refuses to pay for it. Every healthcare system has limited resources and care is always going to be rationed, the only question is how we do the rationing.

Government run healthcare can be done well or it can be done poorly. I’ve lived under both kinds and I would take the bad over America’s system. In Japan, I had to have a ton of cardiac work done, and it was done faster than I’d get it here.

Re: ChatGPT Health

#637

Post by idiotsecant »

godzillabrennus wrote: post #573
idiotsecant wrote: post #567

Earlier quoted context omitted.

If you hear me talking to someone about needing to pick up some flu medicine after work do you have my medical records?

No, but if I hear you telling someone you have the flu and are picking up flu medicine after work then I have a portion of your medical records. Why is it hard for people on HN to believe that normal people do not protect their medical data and email about it or search Google for their conditions? People in the "real world" hook up smart TV's to the internet and don't realize they are being tracked. They use cars wit…

Maybe stop by to consider that knowing a few scattered facts and having your complete medical records is not the same thing, Hemingway.

Re: ChatGPT Health

#638

Post by rl3 »

nostrademons wrote: post #454
rl3 wrote: post #362

Earlier quoted context omitted.

That's a sweeping generalization unsupported by facts. In reality you'll find the vast majority of GPs are highly intelligent and quite good at problem solving. In fact, I'd go so far as to say their training is so intensive and expansive that laypeople who make such comments are profoundly lacking in awareness on the topic. Physicians are still human, so like anything there's of course bad ones, specialists included…

Even if they are good at problem solving, a series of 10-minute appointments spaced out in 2-3 month intervals while they deal with a case load of hundreds of other patients will not let them do it. That's the environment that most GPs work under in the modern U.S. health care system. Pay for concierge medicine and a private physician and you get great health care. That's not what ordinary health insurance pays for.

That's the crux of it. My only point was it's nothing intrinsic to training or ability; they're often hamstrung by the larger system.

Re: ChatGPT Health

#639

Post by rl3 »

threethirtytwo wrote: post #448
rl3 wrote: post #430

Earlier quoted context omitted.

> Is this statement supported by facts? Yeah, the main fact here is called medical school.[0] > Read that fact. 800,000 deaths from misdiagnosis a year is pretty pathetic. And this is just deaths. Okay, and if that somehow flows from GPs (but not specialists!) being uniquely poor at problem solving relative to all other types of physicians—irrespective of wider issues inherent in the U.S. healthcare system—then I sta…

How is going to medical school a measurement of problem solving ability? You need to cite a metric involving ACTUAL problem solving. For example, a misdiagnosis is a FAILURE at solving a problem. Instead you say “medical school” and cite the Harvard handbook as if everyone went to Harvard and that the medical book was a quantitative metric on problem solving success or failure. Come on man. Numbers. Not manuals. > Th…

>Are you joking?

No. The human body actually isn't a 737.

>This statement you made here is manipulative. You know what I mean by that comparison. Don’t try to spin it like I'm not talking about human lives.

Let me spell it out then: The mechanisms by which a human body and a 737 work are so vastly different that one may as well be alien to the other. It's quite an apples and oranges comparison.

Yeah, you can draw parallels in some areas but I'd say on the whole the analogy isn't exactly apt. That said, I'll indulge:

Imagine if every 737 was a few orders of magnitude more complex, and also so different to the point that no plane even looked or functioned the same. Then, imagine we didn't fully understand how they worked.

Point being: Medicine is fuzzy because the human body is fuzzy and imprecise. Everybody's a little different. Contrast to aviation, which is very much an exact science and engineering discipline at this point.

Medicine isn't engineering. Treating patients isn't the same as the design and manufacture of aircraft.

That of course doesn't excuse shitty healthcare systems that can clearly do better when stats indicate there's preventable adverse outcomes happening. I just don't think laying the blame at the feet of doctors somehow being too stupid to problem solve is helpful when there's a larger system that's preventing them from doing their best work for their patients. If anything that narrative is counterproductive.

>Are you yourself a doctor?

Nope, just a layperson who knows they're a layperson.

Re: ChatGPT Health

#640

Post by mangamadaiyan »

freddie_mercury wrote: post #619
mangamadaiyan wrote: post #258

Earlier quoted context omitted.

Something to think about: perhaps the problem is with the duration of the appointment, and the difficulty of getting one in the first place? Elsewhere in the world, doctors can and do spend more than 12 minutes figuring out what's wrong with their patients. It's the healthcare system that's broken, and it _can_ be fixed without resorting to chatgpt. That it won't is the reality, though

> Elsewhere in the world, doctors can and do spend more than 12 minutes figuring out what's wrong with their patients. Where? According to "International variations in primary care physician consultation time: a systematic review of 67 countries" Sweden is the only country on the planet with an average consultation length longer than the US. "We found that 18 countries representing about 50% of the global population…

I was referring to a couple of countries in Asia.
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